St. Joseph Regional Health Center
Organization Active NPI Land Ambulance · Bryan, TX
NPI 1083744940 · NPPES record last updated Mar 13, 2025
Key facts
- NPI
- 1083744940
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 300127 (TX)
- Legal business name
- ST. JOSEPH REGIONAL HEALTH CENTER
- Practice address
- 511 Sulphur Springs
Bryan, TX 77801 - Phone
- (979) 775-8428
- Fax
- (979) 823-8643
- NPI assigned
- Mar 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Christopher Patrick Braly, EMT-PARAMEDIC
- Title
- Director of EMS
- Phone
- (979) 775-5037
Owned or controlled facilities with NPI records 3
Other NPIs with the same Medicare PAC ID 4
Member organizations 8
Practitioners 141
-
Adeel Afzal, M.D.
-
Astha Agarwal, M.D.
-
Robin Rashmi Bhavsar, M.D.
-
Ladoris Beatrice Bowers, MSN, APRN, FNP-C
-
Stewart T Brooks, PA
-
Jasmin Athena Bui, APRN
-
Kelsey Campana, FNP-C
-
Rodrigo Esteban Campana, M.D.
-
Thomas B Campbell, M.D.
-
Imelda V Chan-Villanueva, M.D.
-
Clint CHI Cheng, MD
-
Zbigniew Chmielewski, M.D.
-
Charles Cole, DO
-
Jacqueline Siegrid Cook, FNP-C
-
Joel Barrett Cook, D.O.
-
Mandy Lynn Cox, PAC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1031324 | St Joseph Regional EMS | Certificate of waiver | Sep 28, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| CHI St Joseph Health Regional Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jun 30, 2021 Jun 30, 2021 |
| CHI St. Joseph Health Rehabilitation Hospital, an Affiliate of Encompa |
Hospital | 5% Or Greater Direct Ownership Interest (50%) | Oct 27, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120314000393 | TX | Part B Supplier - Ambulance Service Supplier | 5294727921 | Practice locations: Bryan, TX |
National Provider Directory
Locations
1530 E William J Bryan Pkwy
Bryan, TX 77803
Phone (979) 775-8428
511 Sulphur Springs Rd
Bryan, TX 77801
Phone (979) 775-8428
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 300127 | TX | Yes |
Addresses
Primary practice location
511 Sulphur Springs
Bryan, TX 77801
Mailing address
2801 Franciscan Dr
Bryan, TX 77802-2544
Phone (979) 776-3777
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AMB531 | Other | TX | BLUECROSS BLUESHIELD |
| 0006975-01 | Medicaid | TX | |
| 590012660 | Other | TX | RAILROAD MEDICARE |
Other names
- St. Joseph Regional EMS
Other providers in Bryan, TX
- St Joseph Regional Health Center
- St Joseph Regional Health Center
- St Joseph Regional Health Ctr
- St. Joseph Encompass Health Rehabilitation Hospital, LLC
- St. Joseph Manor
- St. Joseph Regional Health Center
- St. Joseph Regional Health Center
- St. Joseph Regional Health Center
- St. Monica'S Outreach Center for Addictive Disorders
- St.Meena PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.